HomeMy WebLinkAbout222 N Lincoln Street - Building (2) M �;
f a s s
ELECAL PE1€ TF '
CITY OF PORT A NGELES •0
360-417-4735
Application Number, . . 21-00000949 Date 8/03/21
Application pin number 869419
Property Address . . . . . . 222 N LINCOLN ST 101 A
ASSESSOR PARCEL NUMBER: 06-30-00--5-0-0020-0000-
Application_type description ELECTRICAL ONLY
Subdivision Name . . .
Property Use . . . . . .
Property ZpAing CENTRAL BUSINESS DISTRICT
Application valuation . . 0
Application -desc
Nook 'up signs
----------------------------------------------------------------------------
Owner Contractor
HARSORTOWNE LLC SIMPSON ELECTRIC
84 HUNTERS GATE LN 243036 W HWY 101
PORT ANGELES WA 98362 PORT ANGELES'. WA 98363
(808) 225-7394 (360) 457-9270
---- ------ -----
Permit . . ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee . . . 88.00 Plan Check Fee .00
Issue Date . . . . 8/03/21 Valuation . . . 0
Expiration Date 1/30/22
Qty Unit Charge Per Extension
1.00 88.0000 WM EL-COMM-SIGN 88.00
---------- - - ----------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 88.00 88.00 00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 88.00 88.00- .00 00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTIONTYPE DATE: RESULTS: INSPECTOR:
DUCH
SERVICE
ROUGH-IN
FINAL-
COMMENTS:
PERMIT WILL EXPIRE SIX`(6)MONTHS FROM LASTINSPWMW
Signature of owner or Electrical Contractor X Date:
GAEXCH;ANGEIBUtLDING
•
MULTI-FAMILY / COMMERCIALCD
ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department
321 E. 5th Street,Port Angeles, VITA 98362
360.417.4735 1 www.cityofpa.us I electricalpermits0(�,cityofpa.us
Project Address: 222 N. Lincoln St. Port Angeles, WA 98362 >D/
Project Description: Hook up signs
❑ Multi-Family Residential 91 Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: H2O Waterfront Bistro Email:
Mailing Address: 222 N Lincoln St.Port Angeles,WA 98362 Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: Simpson Electric LLC License: SIMPSEL973RQ
Mailing Address: P.O. Box 1086 Port Angeles, WA 98362 Expiration Date: 12/11/2021
Email: dlsimpson51@gmail.com Phone: 360-457-9270
PROJECT DETAILS
lull Unit Charge Quantity Totai(Quantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp. $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $4%00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $86`00 $
Temp. Service/Feeder 200 Amp. $102.00 $
Temp. Service/Feeder 201-400 Amp. $121.00 $
Temp. Service/Feeder 401-600 Amp. $164.00 $
Temp. Service/Feeder 601-1000 Amp. $185,00
Portal to Portal Hourly $9 .00 $
Sign/Outline Lighting $88.00 1 $ 88.00
Signal Circuit/Limited Energy-Multi-Family $8800 $
Signal Circuit/Limited Energy/First 1500 sf-Corn mereial $96.00 $
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less $113.00 $
Thermostat(Note: $5 for each additional) $56.00 $
$ 88.00 TOTAL
Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW.Chapter 19.28,WAC. Chapter 296-
46B,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
8i2i2021 Andrew P Simpson 4919 ��'�x�paarL
Date Print Name Signature(❑ Owner V Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
JCash Adjustment Cashier info
Payment Type
Application# 2-1 MCheck#
Receipt#
Fee Type AALA-L'11 -
z**J
&,,C>VV 9WO-0
Amount Paid C:YD Refund Amount o�
Adjustment
Posted Fee New Fee
. .
Trent Peppard
From: Debbie Simpson <dIshnpson51 zom>
Sent: Friday, September 10' 202112:17PK4
To: TnentPeppand
Subject: Re:Credit
Simpson Electric LLC. Please send me a reimbursement for permit#21-949.
Thank you,
Deborah LSimpson
On Fri,Sep 10'2031 at7:D2 AK4Trent Peppard< wrote:
Debbie,
Please send mnean email requesting reimbursement for permit 21'949.
Trent
NOTICE:This email and any attachments may be subject todisclosure asa public record under the Public Records Act,
RCVV Chapter 43.S6
�